Active NPI
Kenneth L Eckhart, MD
- Gynecology Physician
- Middletown, CT
National Provider Identifier
1104920388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 016500
- Practice address
- 540 Saybrook Rd
Middletown, CT 06457-4711 - Phone
- (860) 347-7491
- Fax
- (860) 346-2118
- NPI assigned
- Sep 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 016500 | CT | Primary |
Addresses
Primary practice location
540 Saybrook Rd
Middletown, CT 06457-4711
Mailing address
540 Saybrook Rd
Middletown, CT 06457-4711
Phone (860) 347-7491
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001165001 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016500 | CT | MD | Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1104920388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 SAYBROOK RD",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064574711",
"telephone_number": "860-347-7491",
"fax_number": "860-346-2118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 SAYBROOK RD",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064574711",
"telephone_number": "860-347-7491",
"fax_number": "860-346-2118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECKHART",
"first_name": "KENNETH",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-11",
"last_updated": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "CT",
"license": "016500",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001165001",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Middletown, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.